JOYCE DEVINA KUSUMA (DNP) – Family Nurse Practitioner, NPI 1144536145

JOYCE DEVINA KUSUMA (DNP) is a healthcare provider. based in Big bear lake, California. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 19163 (CA). The NPI Number for JOYCE DEVINA KUSUMA (DNP) is 1144536145

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JOYCE DEVINA KUSUMA (DNP)
NPI
1144536145
Phone
(909) 878-8000
Address
PO BOX 6918
Enumeration Date
27 August 2010
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3526741720
Graduation Year
2009 (17 years ago)
PAC ID
8729254982
Group Practice PAC ID
2163667288
Professional Enrollment ID
I20230208000305
Address ID
FL321632703TH2485XPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for JOYCE DEVINA KUSUMA (DNP)

  • PO BOX 6918

    BIG BEAR LAKE, CA 923156918

    Phone: (909) 878-8000

    Type: Mailing

  • 42002 FOX FARM RD, SUITE 201

    BIG BEAR LAKE, CA 923159231

    Phone: (909) 878-8000

    Fax: (909) 878-5203

    Type: Location

  • 2485 PINELLAS PL

    THE VILLAGES, FL 321632703

    Phone: (844) 884-9355

    Fax: (352) 674-8920

    Type: Location

  • 1020 LAKE SUMTER LNDG

    THE VILLAGES, FL 321622699

    Phone: (352) 674-8905

    Fax: (352) 674-8901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Boston Scientific Corporation ($123).

Total Amount

$327

General + Research + Ownership

Payments

3

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230208000305INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3329$0
99214Established patient office or other outpatient visit, 30-39 minutes3128$0
View full utilization report →

Insurance plans in this area (ZIP 92315)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163667288View full group profile
NameSpecialtyState
U R O L O G YIL
Family PracticeIL
Internal MedicineIL
-FL
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerNJ
Qualified AudiologistFL

Reviews

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Frequently asked questions

How do payers reference JOYCE DEVINA KUSUMA (DNP)?
For JOYCE DEVINA KUSUMA (DNP), use NPI 1144536145 as the unique 10-digit identifier.
Would JOYCE DEVINA KUSUMA (DNP) appear as active to a payer?
You can treat JOYCE DEVINA KUSUMA (DNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JOYCE DEVINA KUSUMA (DNP)?
JOYCE DEVINA KUSUMA (DNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JOYCE DEVINA KUSUMA (DNP) located near Big Bear Lake?
JOYCE DEVINA KUSUMA (DNP) currently maps to Big Bear Lake, California in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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